There are a whole lot of processes, how to dress, undress, wash your hands, put on a mask, and teach healthcare workers how to take a shower

This is what Ding Liping, chief nurse of the emergency department at Beijing's Anzhen Hospital, shared with us about the protection of healthcare workers! Nurse Ding led a team of 8 doctors and 22 nurses to Ditan Hospital to fight SARS in 2003, and under the severe situation at that time, created a medical staff? Zero. miracle of infection! Specifically include the following measures:

1. After work bath must >30 minutes, to carefully clean the nostrils [fist] because the amount of viral bacteria retained in the nostrils?10 times after the stool!

2. After bathing must bilateral ears? Sterilize with 75% alcohol swabs [fist] because viruses like moist environments!

3. Use saline drops in the eyes [fist] this operation must be done, many people are infected because of the conjunctiva

4. Gargle with saline or mouthwash (the virus likes to stay in the throat)

5. Prohibit the wearing of any jewelry, the virus can survive on the jewelry for > 24 hours! 6. Because no shampoo is effective against the virus, the virus likes humidity and sweats easily with hats and protective clothing? So cut short hair

She also emphasized that in the current situation, protection is important, leaving the infected area of personal cleanliness is more important! Each of us has to be a blocker of infectious agents!

The most practical, or the first people's hospital in Wuhan City, Department of Cardiology, Mr. Zhang Fan summarized the "front-line health care workers to protect personal experience summary"?

One, before going to work to prepare:

1. We practiced shift system, before going to work to eat, drink, rest, to good physical and mental state to go to work, which is able to cope with the important prerequisite for long-term high-intensity work.

Wuhan is currently closed to the city, the food is not as convenient as usual, it is recommended to prepare more dry food and milk at home, I prepared dry food is compressed cookies. Every morning before I go to work, drink milk and eat a piece of compressed cookies, compressed cookies in the high-intensity work can be full for a few hours, and nutritional guarantee. I personally feel that the taste is not bad, not as bad as I thought.

2. Boys and girls are best to cut their hair a little shorter, the shorter the better, so that wearing a hat can play a protective role. Girls if you can not cut short hair, it is recommended to go to work before the hair tied tightly, bangs are also tied up, or spray some styling spray, or halfway it is easy to fall out of the tie eyes, and pollution. Pay attention to cut nails diligently to avoid piercing the gloves, which should be done by health care workers.

3. If you drive to work, please pay attention to the cleanliness and hygiene of the car, take a taxi or take a volunteer's car to work, please help the driver to do a good job of car hygiene, to protect others is also to protect themselves.

4. When you arrive at the hospital, put on the special working clothes and shoes. Your own clothes are placed in a special bag in a designated area to avoid contamination. Later joined the front-line health care workers, a few cases of emergency departments if not prepared work clothes and work shoes, it is recommended that they prepare a set of home clothes instead, this set is only used in the hospital, to avoid wearing contaminated clothing and shoes home.

5. It is not recommended to use cell phones at work, one to increase the chance of contamination, and the other is not convenient to use cell phones while wearing protective clothing. Therefore, it is recommended that the department should have a fixed telephone that can receive and play internal and external calls, and all the working medical staff and important functions of the phone organized and put together in a place that is convenient for everyone to see, and use the fixed telephone to contact each other at work. At the same time, a bulletin board should be set up in the department, and any precautions to be taken or the whereabouts of the medical staff should be written on the bulletin board, so that everyone can be informed quickly. Second? Do a good job of protection:

1. Be sure to do a good job of protection before going on duty, one by one to wear a good protective clothing and then work, do not rush. 2. Protective clothing is dense and airtight, and a wear a few hours, so the inside of their own clothes do not wear too much, I personally wear a set of autumn clothes and pants, do not need to be warm and thickened models, the outside is a set of operating room overalls and shoes, feel more comfortable on the line.

3. After wearing protective clothing, it is not convenient to eat and drink, pay attention to reasonable planning work to eat food and drink time. The previous introduction, I am eating compressed cookies, so basically can be a few hours without hunger, half an hour before going to work to drink water probably can also manage more than three hours (personal experience). Taking off and changing protective clothing is a bit of a hassle, and taking it off and changing it more than once increases the chances of contamination, and also wastes material resources.

4. Mid-shift is the best time to replenish energy and water. Therefore, it is recommended that all healthcare workers hand over their shifts on time and do not delay their shifts, because we are a whole, cooperate well with each other, and give our comrades the opportunity to rest and adjust.

5. I recommend wearing a hat first, and then wear ?N95, N95 need to wear according to the head shape of each person, but overall ?N95 is best not to use the force of the ear but need to bind the force, otherwise the ear can not stand for a long time.

6. Then wear the first layer of gloves, gloves to wrap the long-sleeved coveralls. Then wear isolation clothing, wear isolation clothing after wearing protective clothing. Wear protective clothing to pay attention to the zipper next to the seal tear and then firmly put the protective clothing paste up. Protective clothing cap may have a blocking eyes, according to their own situation can choose to fix the medical tape.

7. Then wear goggles, some goggles will soon fog, it is recommended to do the first anti-fog treatment, I use the spray anti-fog agent. Colleagues have a small experience is that hand sanitizer smeared on the lens, and then rinsed off with water in the sink, shake dry, there is anti-fog function.

8. You can choose to use a medical mask instead of goggles, I personally use a medical mask, do not need to spray anti-fogging agent. But it is a one-time use.

9. Wear protective shoe covers, and finally a layer of gloves, you can start working.

Three? Emergency room clinic work need to pay attention to the problem:

1. If you are assigned to the emergency or fever clinic, if you encounter a lot of patients to come to the queue to see the doctor, first of all, they are not anxious, the mindset put calm. If you don't have experience working in the emergency department, you will be a little nervous. I suggest you sit down, close your eyes, rest for a few seconds, and then take the call. Remember, don't mess up yourself first.

2. The clinic is a contaminated area, everything inside, including medical records, pens, stethoscopes and so on all portable appliances, only in the clinic to use, do not bring into the rest area, this detail should pay attention to.

3. When you encounter a serious patient, immediately arrange to go to the observation room. In general, the patient's expression is particularly painful, you need to pay attention.

4. Patients like to gather around to see the doctor, I will usually prevent this from happening. I would tell them loudly, for your own health, please keep your distance and see the patients in the order called. Yell when you need to yell. A nurse or security guard is needed to maintain order if necessary.

5. Maintaining a distance of one meter or more from the patient has the benefit of reducing cross contamination, and the downside of speaking in a louder voice. My choice is to keep my distance.

6. Every patient who comes in, ask three questions, especially some of the elderly need to be repeatedly asked to confirm, I have seen a lot of older people, will not use smart phones, the ability to receive information is limited. 1) the first question, how much temperature at home (or at home with a fever?)? Have you been in contact with someone who has a fever? Although the triage nurse has temperature records, it is more important to track the patient's temperature at home. Then ask about coughing. Then ask if there is any other discomfort.

2) The second question is, have you been to South China Seafood City or live nearby? I'm not sure if it's a good idea, but I'm sure it's a good idea. Do you live near a marketplace? What do you do in your spare time?

3)The third question is, what kind of diseases have you suffered from? Especially the elderly patients with underlying diseases, focus on.7. General glance to see whether the patient shock and respiratory distress, if so, sent to the observation room. If not, the patient can tolerate the next tests. In this regard, I have not used a stethoscope, blood pressure measurement of our hospital also has automatic blood pressure equipment. So there is no need to touch the patient and the patient does not have to touch the contaminated doctor.

8. Lungs?CT, blood tests must be done, nucleic acid tests in hospitals that have the conditions to do as much as possible, and other tests to choose to do. In the absence of nucleic acid test, you can do routine respiratory viral examination, differential diagnosis. Note that the test should not be too much, will increase the time of the patient's visit to the diagnosis.

9. The diagnosis of viral pneumonia is made by combining the patient's symptoms, history of exposure, medical history, lung?CT, and blood counts. Screening of suspected patients, patients who need further confirmation of the diagnosis, the designated hospital to further confirm the diagnosis or reported in accordance with the procedures. Patients excluded from Wuhan novel coronavirus pneumonia were handled according to routine. Four? The end of the work before leaving work:

1. The most easily contaminated when it is time to take off the protective clothing, must be careful.

2. In the designated place, disinfectant hand washing, take off the first layer of gloves; disinfectant hand washing, and then wear the second layer of gloves, take off the goggles or medical protective mask, disposable medical masks thrown in the designated place; disinfectant hand washing, take off the shoe covers, take off the second layer of gloves; disinfectant hand washing, take off the protective clothing, pay attention to the top to the bottom side of the side of the rolled up and off, outside the contamination, the inside of the relatively clean.

. Sanitizer hand washing, walk to a relatively safe place, sanitizer hand washing, take off the first layer of gloves; sanitizer hand washing, take off the hat, sanitizer hand washing, take off the ?N95; sanitizer hand washing. See the video of Guangzhou Eighth Hospital above. In short before each step are sanitizer hand washing, take off and throw in the designated place.

4. Change out of your work clothes and put on your own clothes and shoes. Wash your face with soapy water, pay attention to nostrils, ? neck, etc., and wear a surgical mask.

5. Go home and isolate and disinfect the area as appropriate.